OB HESI 2025 Questions And Answers
Ar16ryearroldrgravidar1,rparar0rclientrhasrjustrbeenradmittedrtortherhospitalrwithrardiagnosisr
ofreclampsia.rSherisrnotrpresentlyrconvulsing.rWhichrinterventionrshouldrthernurserplanrtori
ncluderinrthisrclient'srnursingrcarerplan?r
A.rAssessrtemperaturereveryrhour.r
B.rMonitorrbloodrpressure,rpulse,randrrespirationsreveryr4rhours.r
C.rKeepranrairwayratrtherbedside.r
D.rAllowrfamilyrvisitationr-rCORRECTrrANSWER-C.rKeepranrairwayratrtherbedside.
Ar30-year-oldrprimigravidardeliversrar9-poundr(4082rgram)rinfantrvaginallyrafterrar30-
hourrlabor.rWhatrisrtherpriorityrnursingractionrforrthisrclient?r
A.rGentlyrmassagertherfundusreveryr4rhours.r
B.rObserverforrsignsrofruterinerhemorrhage.r
C.rEncouragerdirectrcontactrwithrtherinfant.r
D.rAssessrtherbloodrpressurerforrhypertension.r-rCORRECTrrANSWER-
A.rGentlyrmassagertherfundusreveryr4rhours.
Arclientratr18-weeksrgestationrwasrinformedrthisrmorningrthatrsherhasranrelevatedralpha-
fetoprotein(AFP)rlevel.rAfterrtherhealthcarerproviderrleavesrtherroom,rtherclientrasksrwhatrs
hershouldrdornext.rWhatrinformationrshouldrthernurserprovide?r
A.rReassurertherclientrthatrtherAFPrresultsrarerlikelyrtorberarfalserreading.r
B.rExplainrthatrarsonogramrshouldrberscheduledrforrdefinitiverresults.r
C.rDiscussroptionsrforrintrauterinersurgicalrcorrectionrofrcongenitalrdefects.r
D.rInformrherrthatrarrepeatralpha-fetoprotein(AFP)rshouldrberelevatedr-
rCORRECTrrANSWER-
B.rExplainrthatrarsonogramrshouldrberscheduledrforrdefinitiverresults.
Arclientratr35rweeksrgestationrcomplainsrofrar"painrwheneverrtherbabyrmoves".rOnrassess
ment,rthernursernotesrtherclient'srtemperaturertorber101.2Frwithrsevererabdominalrorruterin
ertendernessronrpalpation.rThernurserknowsrthatrtheserfindingsrarerindicativerofrwhichrcon
dition?r
A.rRoundrligamentrstrain.r
B.rViralrinfectionr
C.rAbruptiorplacentar
D.rChorioamnionitisr-rCORRECTrrANSWER-D.rChorioamnionitis
Arclientrwhorhadrherrfirstrbabyr3rmonthsragor&risrbreastfeedingrherrinfantrtellsrthernurserthat
rsherisrcurrentlyrusingrthersamerdiaphragmrthatrsherusedrbeforerbecomingrpregnant.rWhic
hrinformationrshouldrthernurserproviderthisrclient?r
A.rAfterrceasingrbreastfeeding,rtherdiaphragmrshouldrberresized.r
B.rAvoidrintercourserduringrovulationruntilrthersizerofrtherdiaphragmrhasrbeenrevaluated.r
C.rIfrnormorerthanr20rpoundsrwasrgainedrduringrpregnancy,rtherdiaphragmrisrsafertoruse.r
, D.rUseranralternaterformrofrcontraceptiveruntilrarnewrdiaphragmrisrobtained.r-
rCORRECTrrANSWER-
D.rUseranralternaterformrofrcontraceptiveruntilrarnewrdiaphragmrisrobtained.
Arclientrwhorisr32rweeksrgestationrarrivesratrtherclinicrreportingrnausearandrvomitingrforrthe
rpastr24rhours.rThernurserreviewsrtherrecordsrandrobservesrthererhasrbeenrarrapidrweightr
gainroverr6rweeks.rWhichractionrshouldrthernurserimplementrnext?r
A.rAskrforrar24rhourrdietrrecall.
B.rObtainrarbloodrpressure.r
C.rInspectrforrpedalredema.r
D.rListenrtorfetalrheartrrate.r-rCORRECTrrANSWER-B.rObtainrarbloodrpressure.
Armultigravidarclientrinrlaborrisrreceivingroxytocinr4mu/minutertorhelprpromoteranreffectiver
contractionrpattern.rTheravailablersolutionrisrLactactedrRinger'sr1,000rmLrwithroxytocinr20r
units.rThernursershouldrprogramrtherinfusionrpumprtordeliverrhowrmanyrmL/hr?r-
rCORRECTrrANSWER-12
Armultiparousrclientrwithractiverherpesrlesionrisradmittedrtortherunitrwithrspontaneousrruptu
rerofrmembranes.rWhichractionrshouldrthernurserdorfirst?r
A.rObtainrbloodrcultures.
B.rCoverrtherlesionrwithrardressing.r
C.rAdministerrpenicillin.
D.rPreparerforrarcesareanrsection.r-rCORRECTrrANSWER-
D.rPreparerforrarcesareanrsection.
Arnewrmotherrasksrthernurseraboutranrarearofrswellingronrherrbaby'srheadrnearrtherposterio
rrfontanelrthatrliesracrossrthersuturerline.rHowrshouldrthernurserrespond?r
A.r"Thatrisrcalledrcaputrsuccedaneum.rItrwillrhavertorberdrained."r
B.r"Thatrisrcalledrcaputrsuccedaneum.rItrwillrabsorbrandrcausernorproblems."r
C.r"Thatrisrcalledrarcephalhematoma.rItrwillrcausernorproblems."r
D.r"Thatrisrcalledrarcephalhematoma.rItrcanrcauserjaundicerasritrisrabsorbed."r-
rCORRECTrrANSWER-
B.r"Thatrisrcalledrcaputrsuccedaneum.rItrwillrabsorbrandrcausernorproblems."
Arnewrmotherrwhorisrbreastfeedingrherr4-week-
oldrinfantrandrhasrtyper1rdiabetes,rreportsrthatrherrinsulinrneedsrhaverdecreasedrsincerther
birthrofrherrchild.rWhichractionrshouldrthernurserimplement?r
A.rInformrherrthatrardecreasedrneedrforrinsulinroccursrwhilerbreastfeeding.r
B.rCounselrherrtorincreaserherrcaloricrintake.r
C.rAdvisertherclientrtorbreastfeedrmorerfrequently.r
D.rScheduleranrappointmentrforrtherclientrwithrtherdiabeticrnursereducator.r-
rCORRECTrrANSWER-
A.rInformrherrthatrardecreasedrneedrforrinsulinroccursrwhilerbreastfeeding.
Arnewborn'srassessmentrrevealsrspinarbifidarocculta.rWhichrmaternalrfactorrshouldrthernur
seridentifyrasrhavingrthergreatestrimpactronrtherdevelopmentrofrthisrnewbornrcomplication?
Ar16ryearroldrgravidar1,rparar0rclientrhasrjustrbeenradmittedrtortherhospitalrwithrardiagnosisr
ofreclampsia.rSherisrnotrpresentlyrconvulsing.rWhichrinterventionrshouldrthernurserplanrtori
ncluderinrthisrclient'srnursingrcarerplan?r
A.rAssessrtemperaturereveryrhour.r
B.rMonitorrbloodrpressure,rpulse,randrrespirationsreveryr4rhours.r
C.rKeepranrairwayratrtherbedside.r
D.rAllowrfamilyrvisitationr-rCORRECTrrANSWER-C.rKeepranrairwayratrtherbedside.
Ar30-year-oldrprimigravidardeliversrar9-poundr(4082rgram)rinfantrvaginallyrafterrar30-
hourrlabor.rWhatrisrtherpriorityrnursingractionrforrthisrclient?r
A.rGentlyrmassagertherfundusreveryr4rhours.r
B.rObserverforrsignsrofruterinerhemorrhage.r
C.rEncouragerdirectrcontactrwithrtherinfant.r
D.rAssessrtherbloodrpressurerforrhypertension.r-rCORRECTrrANSWER-
A.rGentlyrmassagertherfundusreveryr4rhours.
Arclientratr18-weeksrgestationrwasrinformedrthisrmorningrthatrsherhasranrelevatedralpha-
fetoprotein(AFP)rlevel.rAfterrtherhealthcarerproviderrleavesrtherroom,rtherclientrasksrwhatrs
hershouldrdornext.rWhatrinformationrshouldrthernurserprovide?r
A.rReassurertherclientrthatrtherAFPrresultsrarerlikelyrtorberarfalserreading.r
B.rExplainrthatrarsonogramrshouldrberscheduledrforrdefinitiverresults.r
C.rDiscussroptionsrforrintrauterinersurgicalrcorrectionrofrcongenitalrdefects.r
D.rInformrherrthatrarrepeatralpha-fetoprotein(AFP)rshouldrberelevatedr-
rCORRECTrrANSWER-
B.rExplainrthatrarsonogramrshouldrberscheduledrforrdefinitiverresults.
Arclientratr35rweeksrgestationrcomplainsrofrar"painrwheneverrtherbabyrmoves".rOnrassess
ment,rthernursernotesrtherclient'srtemperaturertorber101.2Frwithrsevererabdominalrorruterin
ertendernessronrpalpation.rThernurserknowsrthatrtheserfindingsrarerindicativerofrwhichrcon
dition?r
A.rRoundrligamentrstrain.r
B.rViralrinfectionr
C.rAbruptiorplacentar
D.rChorioamnionitisr-rCORRECTrrANSWER-D.rChorioamnionitis
Arclientrwhorhadrherrfirstrbabyr3rmonthsragor&risrbreastfeedingrherrinfantrtellsrthernurserthat
rsherisrcurrentlyrusingrthersamerdiaphragmrthatrsherusedrbeforerbecomingrpregnant.rWhic
hrinformationrshouldrthernurserproviderthisrclient?r
A.rAfterrceasingrbreastfeeding,rtherdiaphragmrshouldrberresized.r
B.rAvoidrintercourserduringrovulationruntilrthersizerofrtherdiaphragmrhasrbeenrevaluated.r
C.rIfrnormorerthanr20rpoundsrwasrgainedrduringrpregnancy,rtherdiaphragmrisrsafertoruse.r
, D.rUseranralternaterformrofrcontraceptiveruntilrarnewrdiaphragmrisrobtained.r-
rCORRECTrrANSWER-
D.rUseranralternaterformrofrcontraceptiveruntilrarnewrdiaphragmrisrobtained.
Arclientrwhorisr32rweeksrgestationrarrivesratrtherclinicrreportingrnausearandrvomitingrforrthe
rpastr24rhours.rThernurserreviewsrtherrecordsrandrobservesrthererhasrbeenrarrapidrweightr
gainroverr6rweeks.rWhichractionrshouldrthernurserimplementrnext?r
A.rAskrforrar24rhourrdietrrecall.
B.rObtainrarbloodrpressure.r
C.rInspectrforrpedalredema.r
D.rListenrtorfetalrheartrrate.r-rCORRECTrrANSWER-B.rObtainrarbloodrpressure.
Armultigravidarclientrinrlaborrisrreceivingroxytocinr4mu/minutertorhelprpromoteranreffectiver
contractionrpattern.rTheravailablersolutionrisrLactactedrRinger'sr1,000rmLrwithroxytocinr20r
units.rThernursershouldrprogramrtherinfusionrpumprtordeliverrhowrmanyrmL/hr?r-
rCORRECTrrANSWER-12
Armultiparousrclientrwithractiverherpesrlesionrisradmittedrtortherunitrwithrspontaneousrruptu
rerofrmembranes.rWhichractionrshouldrthernurserdorfirst?r
A.rObtainrbloodrcultures.
B.rCoverrtherlesionrwithrardressing.r
C.rAdministerrpenicillin.
D.rPreparerforrarcesareanrsection.r-rCORRECTrrANSWER-
D.rPreparerforrarcesareanrsection.
Arnewrmotherrasksrthernurseraboutranrarearofrswellingronrherrbaby'srheadrnearrtherposterio
rrfontanelrthatrliesracrossrthersuturerline.rHowrshouldrthernurserrespond?r
A.r"Thatrisrcalledrcaputrsuccedaneum.rItrwillrhavertorberdrained."r
B.r"Thatrisrcalledrcaputrsuccedaneum.rItrwillrabsorbrandrcausernorproblems."r
C.r"Thatrisrcalledrarcephalhematoma.rItrwillrcausernorproblems."r
D.r"Thatrisrcalledrarcephalhematoma.rItrcanrcauserjaundicerasritrisrabsorbed."r-
rCORRECTrrANSWER-
B.r"Thatrisrcalledrcaputrsuccedaneum.rItrwillrabsorbrandrcausernorproblems."
Arnewrmotherrwhorisrbreastfeedingrherr4-week-
oldrinfantrandrhasrtyper1rdiabetes,rreportsrthatrherrinsulinrneedsrhaverdecreasedrsincerther
birthrofrherrchild.rWhichractionrshouldrthernurserimplement?r
A.rInformrherrthatrardecreasedrneedrforrinsulinroccursrwhilerbreastfeeding.r
B.rCounselrherrtorincreaserherrcaloricrintake.r
C.rAdvisertherclientrtorbreastfeedrmorerfrequently.r
D.rScheduleranrappointmentrforrtherclientrwithrtherdiabeticrnursereducator.r-
rCORRECTrrANSWER-
A.rInformrherrthatrardecreasedrneedrforrinsulinroccursrwhilerbreastfeeding.
Arnewborn'srassessmentrrevealsrspinarbifidarocculta.rWhichrmaternalrfactorrshouldrthernur
seridentifyrasrhavingrthergreatestrimpactronrtherdevelopmentrofrthisrnewbornrcomplication?
